TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) BETH A HOUGHTON...................................................................... DIRECTOR, CHAIR	1.00 ................. 1.00	X	X	0	0	0
(2) THE HONORABLE MARK A PIZZO...................................................................... DIRECTOR, VICE CHAIR	1.00 ................. 1.00	X	X	0	0	0
(3) THE HONORABLE H LEE MOFFITT...................................................................... DIRECTOR, SECRETARY/TREAS	1.00 ................. 4.00	X	X	0	0	0
(4) W MICHAEL ALBERTS...................................................................... DIRECTOR, MEDICAL DIRECTOR MCKINLEY	51.00 ................. 0.00	X		466,417	0	44,179
(5) MICHAEL BICE...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(6) JOSEPH CABALLERO...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(7) ROLAND DANIELS...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(8) VALERIE GODDARD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(9) JACQUELINE LEWIS...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(10) JO MANION...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(11) JENNIFER MOFFITT...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(12) ORLANDO NIEVES...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(13) KEVIN PLUMMER...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(14) NICOLAS PORTER...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(15) MARY ANNE REILLY...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(16) HAL WALKER...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(17) JOHN A KOLOSKY...................................................................... HOSPITAL PRESIDENT	25.00 ................. 30.00		X	0	942,465	94,556

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LOUIS D DE LA PARTE........................................................................ EVP-GEN COUNSEL, ASST SEC	20.00 .......................35.00	X				0	610,363	50,636
(19) G DOUGLAS LETSON........................................................................ EVP-PHYS IN CHIEF	22.00 .......................33.00	X				833,151	0	49,115
(20) YVETTE LYONS TREMONTI........................................................................ EVP-CFO & ASST TREASURER	20.00 .......................35.00	X				0	653,701	51,585
(21) BRAULIO VICENTE........................................................................ SVP-HOSP OPERATIONS	35.00 .......................20.00	X				458,385	0	48,625
(22) JANE FUSILERO........................................................................ VP-PATIENT CARE SVS/CNO	55.00 .......................0.00	X				419,550	0	37,944
(23) ROBERT KEENAN........................................................................ VP-QUAL & MED AFFAIRS/CMO	55.00 .......................0.00	X				525,506	0	11,553
(24) CYNTHIA TERRANO........................................................................ VP-PAYER STRATEGIES	35.00 .......................20.00	X				341,041	0	3,529
(25) JOANNA WEISS........................................................................ VP REV CYCLE MGMT	35.00 .......................20.00	X				0	281,754	45,355
(26) GENE WETZSTEIN........................................................................ CHIEF PHARMACY OFFICER	50.00 .......................0.00		X			229,103	0	36,178
(27) VLADIMIR FEYGELMAN........................................................................ ASSOC MBR PHYSICIST	50.00 .......................0.00			X		231,284	0	39,255
(28) EDUARDO G MOROS........................................................................ SR MBR PHYSICIST	50.00 .......................0.00			X		363,544	0	49,310
(29) AMARJIT S SAINI........................................................................ COORD BRACHYTHERAPY PHYSIC	50.00 .......................0.00			X		244,484	0	12,971
(30) SIRIPORN SARANGKASIRI........................................................................ CLINICAL PHYSICIST II	50.00 .......................0.00			X		225,081	0	24,410
(31) STUART G WASSERMAN........................................................................ DIR CLINICAL PHYSICS	50.00 .......................0.00			X		302,319	0	41,023
(32) JULIE DJEU........................................................................ FORMER DIRECTOR, ACD RSCH EDUC	0.00 .......................50.00				X	0	414,922	64,611
(33) JANENE CULUMBER........................................................................ FORMER SVP-CFO&ASST TREAS	0.00 .......................0.00				X	0	130,196	0
(34) WILLIAM S DALTON........................................................................ FORMER PRES/CEO	0.00 .......................55.00				X	0	1,097,768	53,801
(35) ALAN F LIST........................................................................ FORMER EVP-PHYS IN CHIEF	0.00 .......................55.00				X	0	2,904,711	76,128
(36) SCOTT D ELDREDGE........................................................................ FORMER KEY EMP, DEPT ADMIN	50.00 .......................0.00				X	198,245	0	26,053

(A) Name and business address	(B) Description of services	(C) Compensation
LEIDOS HEALTH LLC PO BOX 223866 PITTSBURGH,PA15251	PROFESSIONAL SERVICES	2,425,715
LAB CORP OF AMERICA PO BOX 12140 BURLINGTON,NC27216	LAB SERVICES	1,184,285
HARMONY HEALTHCARE 2909 W BAY TO BAY BLVD STE 500 TAMPA,FL33629	PROFESSIONAL SERVICES	978,090
LOCUMTENENSCOM PO BOX 405547 ATLANTA,GA30384	PROFESSIONAL SERVICES	484,993
THIRD EYE TELERADIOLOGY LLC 11725 RED OAK VALLEY LN AUSTIN,TX78732	RADIOLOGY SERVICES	356,800
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 16

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC		Employer identification number 59-3238634

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC			Employer identification number 59-3238634
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

26,324

Publications, or published or broadcast statements? ...........................................................

Yes

99,316

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

549,963

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

23,550

Other activities? ...................................................................................................................

Yes

16,977

Total. Add lines 1c through 1i ....................................................................................................

716,130

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AND ITS THREE NON-PROFIT SUBSIDIARY CORPORATIONS ("CORPORATION") WERE CREATED TO GOVERN AND OPERATE THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE ("INSTITUTE") PURSUANT TO SECTION 1004.43, FLORIDA STATUTES. AMONG OTHER THINGS, SECTION 1004.43 FLORIDA STATUTES PROVIDES: (1) THAT THE CORPORATION SHALL ENTER INTO AN AGREEMENT WITH THE STATE BOARD OF EDUCATION FOR THE UTILIZATION OF FACILITIES ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA; (2) THAT THE CORPORATION SUBMIT ANNUAL POST AUDITS OF ITS FINANCIAL ACCOUNTS TO THE AUDITOR GENERAL OF THE STATE OF FLORIDA AND THE BOARD OF GOVERNORS FOR THEIR REVIEW; AND (3) THAT THE CORPORATION'S CEO REPORT TO THE BOARD OF GOVERNORS OR ITS DESIGNEE AND PROVIDE COPIES OF THE INSTITUTE'S ANNUAL REPORT TO THE GOVERNOR OF THE STATE OF FLORIDA, THE CABINET, THE PRESIDENT OF THE SENATE, THE SPEAKER OF THE HOUSE AND THE CHAIR OF THE BOARD OF GOVERNORS. ALTHOUGH THE CORPORATION IS A PRIVATE ENTITY, IT IS NONETHELESS SUBJECT TO THE STATE OF FLORIDA'S PUBLIC RECORDS AND THE PUBLIC MEETINGS LAWS. THE CORPORATION ALSO RELIES ON ANNUAL APPROPRIATIONS BY THE LEGISLATURE OF THE STATE OF FLORIDA AND GRANTS FROM VARIOUS LOCAL, STATE AND FEDERAL AGENCIES FOR OPERATION AND MAINTENANCE OF ITS FACILITIES AND FOR SPECIFIC RESEARCH AND CLINICAL PROGRAMS. FOR THESE REASONS, THE CORPORATION FROM TIME TO TIME ENGAGES LOBBYISTS AND OTHER CONSULTANTS: (1) TO ASSIST IT IN COMPLYING WITH ITS REPORTING REQUIREMENTS TO THE STATE OF FLORIDA UNDER SECTION 1004.43, FLORIDA STATUTES; (2) TO MONITOR LEGISLATIVE AND EXECUTIVE BRANCH ACTION AT LOCAL, STATE AND FEDERAL LEVELS OF GOVERNMENT WHICH IMPACT ITS OPERATION AND THE FULFILLMENT OF ITS MISSION; AND (3) TO INFLUENCE LEGISLATION IN FURTHERANCE OF ITS MISSION IN THE AREAS OF CANCER RESEARCH AND TREATMENT, THE TEACHING AND TRAINING OF HEALTH CARE PROFESSIONALS AND COMMUNITY EDUCATION AND OUTREACH ACTIVITIES. THE CORPORATION DOES NOT ENGAGE IN ANY ACTIVITIES TO SUPPORT OR OPPOSE ANY CANDIDATE FOR PUBLIC OFFICE.
PART II-B, LINE 1i, OTHER ACTIVITIES	THE OTHER ACTIVITIES AMOUNT LISTED ON LINE 1i IS COMPRISED OF EXPENSES RELATED TO ORCHESTRATING CONTACT BETWEEN GRASSROOTS SUPPORTERS AND ELECTED OFFICIALS TO PROMOTE THE INSTITUTION'S LEGISLATIVE INITIATIVES.

Return Reference

Explanation

Part II-B, Line 1:

THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AND ITS THREE NON-PROFIT SUBSIDIARY CORPORATIONS ("CORPORATION") WERE CREATED TO GOVERN AND OPERATE THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE ("INSTITUTE") PURSUANT TO SECTION 1004.43, FLORIDA STATUTES. AMONG OTHER THINGS, SECTION 1004.43 FLORIDA STATUTES PROVIDES: (1) THAT THE CORPORATION SHALL ENTER INTO AN AGREEMENT WITH THE STATE BOARD OF EDUCATION FOR THE UTILIZATION OF FACILITIES ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA; (2) THAT THE CORPORATION SUBMIT ANNUAL POST AUDITS OF ITS FINANCIAL ACCOUNTS TO THE AUDITOR GENERAL OF THE STATE OF FLORIDA AND THE BOARD OF GOVERNORS FOR THEIR REVIEW; AND (3) THAT THE CORPORATION'S CEO REPORT TO THE BOARD OF GOVERNORS OR ITS DESIGNEE AND PROVIDE COPIES OF THE INSTITUTE'S ANNUAL REPORT TO THE GOVERNOR OF THE STATE OF FLORIDA, THE CABINET, THE PRESIDENT OF THE SENATE, THE SPEAKER OF THE HOUSE AND THE CHAIR OF THE BOARD OF GOVERNORS. ALTHOUGH THE CORPORATION IS A PRIVATE ENTITY, IT IS NONETHELESS SUBJECT TO THE STATE OF FLORIDA'S PUBLIC RECORDS AND THE PUBLIC MEETINGS LAWS. THE CORPORATION ALSO RELIES ON ANNUAL APPROPRIATIONS BY THE LEGISLATURE OF THE STATE OF FLORIDA AND GRANTS FROM VARIOUS LOCAL, STATE AND FEDERAL AGENCIES FOR OPERATION AND MAINTENANCE OF ITS FACILITIES AND FOR SPECIFIC RESEARCH AND CLINICAL PROGRAMS. FOR THESE REASONS, THE CORPORATION FROM TIME TO TIME ENGAGES LOBBYISTS AND OTHER CONSULTANTS: (1) TO ASSIST IT IN COMPLYING WITH ITS REPORTING REQUIREMENTS TO THE STATE OF FLORIDA UNDER SECTION 1004.43, FLORIDA STATUTES; (2) TO MONITOR LEGISLATIVE AND EXECUTIVE BRANCH ACTION AT LOCAL, STATE AND FEDERAL LEVELS OF GOVERNMENT WHICH IMPACT ITS OPERATION AND THE FULFILLMENT OF ITS MISSION; AND (3) TO INFLUENCE LEGISLATION IN FURTHERANCE OF ITS MISSION IN THE AREAS OF CANCER RESEARCH AND TREATMENT, THE TEACHING AND TRAINING OF HEALTH CARE PROFESSIONALS AND COMMUNITY EDUCATION AND OUTREACH ACTIVITIES. THE CORPORATION DOES NOT ENGAGE IN ANY ACTIVITIES TO SUPPORT OR OPPOSE ANY CANDIDATE FOR PUBLIC OFFICE.

PART II-B, LINE 1i, OTHER ACTIVITIES

THE OTHER ACTIVITIES AMOUNT LISTED ON LINE 1i IS COMPRISED OF EXPENSES RELATED TO ORCHESTRATING CONTACT BETWEEN GRASSROOTS SUPPORTERS AND ELECTED OFFICIALS TO PROMOTE THE INSTITUTION'S LEGISLATIVE INITIATIVES.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...
b	Buildings
c	Leasehold improvements	281,110	281,110	0
d	Equipment ...	192,230,601	148,363,181	43,867,420
e	Other ...	2,937,248		2,937,248
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				46,804,668

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INVESTMENT IN PREMIER				4,681,746
(2) INTEREST IN NET ASSETS OF FOUNDATION				3,823,688
(3) RECEIVABLE - OTHER				96,182
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				8,601,616

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
HCCB ASSESSMENT	10,955,018
ESTIMATED THIRD-PARTY SETTLEMENTS	17,340,457
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	28,295,475
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Part X, Line 2:

THE CANCER CENTER RECOGNIZES UNCERTAIN TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT (I.E., GREATER THAN 50% LIKELIHOOD OF RECEIVING BENEFIT) AND RECORDS THESE BENEFITS AT THE AMOUNT MOST LIKELY TO BE REALIZED ASSUMING A REVIEW BY TAX AUTHORITIES HAVING ALL RELEVANT INFORMATION AND APPLYING CURRENT CONVENTIONS. THE CANCER CENTER HAS NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS AND DOES NOT BELIEVE THAT THERE WILL BE ANY MATERIAL CHANGES IN THE CANCER CENTER'S UNRECOGNIZED TAX POSITION OVER THE NEXT 12 MONTHS.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	16,967,395		16,967,395	2.440 %
b	Medicaid (from Worksheet 3, column a) . . . . .	20,026,757	10,323,297	9,703,460	1.400 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	36,994,152	10,323,297	26,670,855	3.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	801,560		801,560	0.110 %
f	Health professions education (from Worksheet 5) . . .	2,478,275		2,478,275	0.360 %
g	Subsidized health services (from Worksheet 6) . . . .	27,233		27,233	0 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	3,307,068		3,307,068	0.470 %
k	Total. Add lines 7d and 7j .	40,301,220	10,323,297	29,977,923	4.310 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	2,912	2,912	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	4,131	4,131	0 %
7	Community health improvement advocacy
8	Workforce development	1,220	1,220	0 %
9	Other
10	Total	8,263	8,263

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,613,258

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

193,108,665

Enter Medicare allowable costs of care relating to payments on line 5.....

207,595,135

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-14,486,470

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	H LEE MOFFITT CANCER CENTER & RESEARCH 12902 MAGNOLIA DRIVE TAMPA,FL33612 www.moffitt.org 4334	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	H LEE MOFFITT CANCER CENTER & RESEARCH
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, LINE 10a

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.MOFFITT.ORG/PUBLICATIONS/COMMUNITY-BENEFIT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	H LEE MOFFITT CANCER CENTER & RESEARCH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	H LEE MOFFITT CANCER CENTER & RESEARCH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 5: INDIVIDUALS, INCLUDING ORGANIZATIONAL LEADERS FROM MULTIPLE SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS, PARTICIPATED IN FOCUS GROUPS AND INTERVIEWS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. ADDITIONALLY, AN ADVISORY COMMITTEE COMPRISED OF BOTH INTERNAL MOFFITT STAFF AND COMMUNITY LEADERS PROVIDED FEEDBACK AND GUIDANCE THROUGHOUT THE ASSESSMENT PROCESS.THE FOLLOWING INDIVIDUALS WERE INTERVIEWED AS PART OF THIS HEALTH ASSESSMENT, EITHER BY PHONE ON IN PERSON. THEY CONTRIBUTED IMMEASURABLE VALUE IN THE FORMATION OF THIS REPORT, PROVIDING PROFESSIONAL KNOWLEDGE, EXPERT INFORMATION, AND INFORMED PUBLIC POLICY DIRECTION BY PARTICIPATING IN THE ASSESSMENT PROCESS AS KEY INFORMANTS. WE WOULD LIKE TO ACKNOWLEDGE EACH OF THESE INDIVIDUALS AND THANK THEM FOR THEIR GENEROUS TIME AND CONTRIBUTIONS TO THIS ASSESSMENT.CHRISTINE ABARCA, FLORIDA DEPT. OF HEALTH PASCO COUNTY; KIM AMTMANN-BUETTNER, PATIENT & FAMILY ADVISORY PROGRAM, MOFFITT CANCER CENTER; DEBORAH AUSTIN, PHD, DIRECTOR OF COMMUNITY ENGAGEMENT, REACHUP, INC.; PASTOR DAN CAMPBELL, DIRECTOR OF DEVELOPMENT FOR PASCO COUNTY METROPOLITAN MINISTRIES; ERMELINDA CENTENO, DIRECTOR OF ENABLING SERVICES, CENTRAL FLORIDA HEALTH CARE, INC.; KRISTIN CHESNUTT, HEALTH SYSTEMS MANAGER, AMERICAN CANCER SOCIETY, FLORIDA DIVISION; VENESSA RIVERA COL N, MANAGER OF MOFFITT PROGRAM FOR OUTREACH WELLNESS EDUCATION & RESOURCES, MOFFITT CANCER CENTER; ERNEST CONEY, CEO, CDC OF TAMPA; KATHY DAIN, EXECUTIVE DIRECTOR, BETH-EL FARMWORKER MINISTRY; LOLITA DASH-PITTS, EXECUTIVE DIRECTOR, FRONT PORCH CDA, INC.; MARTINE DORVIL, DIRECTOR OF PROGRAMS, UNIVERSITY AREA COMMUNITY DEVELOPMENT CORPORATION; KATHERINE EAGAN, CEO, HILLSBOROUGH AREA REGIONAL TRANSIT (HART); SUSAN EASTER, DIRECTOR OF HEALTH CENTER, ST. PETERSBURG FREE CLINIC; MARIA NIEVES EDMONDS, CHAIRPERSON, HISPANIC LEADERSHIP COUNCIL; SHEILA FERRALL, SENIOR DIR., NURSING PRACTICE, EDUC. & CLINIC EFFICIENCY, MOFFITT CANCER CENTER; KHALIAH FLEMING, COMMUNITY HEALTH EDUCATOR, MOFFITT CANCER CENTER; MIGUEL FUENTES, REDLANDS CHRISTIAN MIGRANT ASSOCIATION (RCMA); GEORGE GARCIA, BRANCH EXECUTIVE, HIGHPOINT BRANCH, YMCA OF THE SUNCOAST; LYNDA GOWING, REGIONAL COORDINATOR, FLORIDA DEPT. OF HEALTH PASCO COUNTY; LUCY GUERRA, MD, ASSOCIATE PROFESSOR OF MEDICINE, UNIVERSITY OF SOUTH FLORIDA SCHOOL OF MEDICINE; ERIC HAAS, MD, SENIOR MEDICAL DIRECTOR FOR MEDICARE ADVANTAGE, FLORIDA BLUE; CARRIE HEPBURN, EXECUTIVE DIRECTOR, TAMPA BAY HEALTHCARE COLLABORATIVE; SHERRY HOBACK, CHIEF CLINICAL SERVICES OFFICER, TAMPA FAMILY HEALTH CENTERS; DOUGLAS HOLT, MD, DIRECTOR, FLORIDA DEPT. OF HEALTH HILLSBOROUGH COUNTY; JOY JACKSON, MD, DIRECTOR, FLORIDA DEPT. OF HEALTH POLK COUNTY; DENESE METEYE JAMES, COMMUNITY VOLUNTEER; CYNTHIA JOHNSON, ED.D, EDFP, SENIOR MANAGER BUSINESS ASSISTANCE, PINELLAS COUNTY ECONOMIC DEVELOPMENT; CHERI WRIGHT-JONES, REGIONAL VICE PRESIDENT, ALLEGHANY FRANCISCAN MINISTRIES; ROBERT KEENAN, MD, CHIEF MEDICAL OFFICER, VP QUALITY, MOFFITT CANCER CENTER; JACK KOLOSKY, CHIEF OPERATING OFFICER, MOFFITT CANCER CENTER; GINA KRAVITZ, EXECUTIVE DIRECTOR, SUSAN G KOMEN SUNCOAST; VALARIE LEE, PUBLIC HEALTH SERVICES MANAGER, FLORIDA DEPT. OF HEALTH PINELLAS COUNTY; DOUGLAS LETSON, MD, EXECUTIVE VICE PRESIDENT, PHYSICIAN-IN-CHIEF, MOFFITT CANCER CENTER; KARENNE LEVY, DIRECTOR OF PATIENT EXPERIENCE (FORMERLY), MOFFITT CANCER CENTER; NATASHA MARTIN, HUMAN SERVICES MANAGER, PASCO COUNTY HUMAN SERVICES; CHRISTINA MATHIS, CEO, GULFCOAST NORTH AREA HEALTH EDUCATION CENTER; MICHELE MCCOY, SEMINOLE INDIAN TRIBE; KATE MCDONALD, HEALTH SERVICES COORDINATOR, LAKE WALES CARE CENTER; SETH MCKEEL, SOUTHERN STRATEGY GROUP, FORMER REPRESENTATIVE OF POLK COUNTY DISTRICT 40; KYLE MOBLEY, SENIOR MANAGER FOR HOSPITAL SYSTEMS, AMERICAN CANCER SOCIETY, FLORIDA DIVISION; MIKE NAPIER, ADMINISTRATOR, FLORIDA DEPT. OF HEALTH PASCO COUNTY; SHALEWA NOEL-THOMAS, PHD, MANAGER, SOCIAL SERVICES DEPT. (FORMERLY), HILLSBOROUGH COUNTY BOARD OF COMMISSIONERS; DONNA PETERSEN, PHD, DEAN, USF COLLEGE OF PUBLIC HEALTH; MARIA PINZ N, EXECUTIVE DIRECTOR, HISPANIC SERVICES COUNCIL; CHERYL POLLOCK, DIRECTOR, BUSINESS DEVELOPMENT & COMMUNITY SERVICES, PREMIER COMMUNITY HEALTHCARE GROUP; LARRY POWELL, PRESIDENT, ANGELS CARE CENTER OF ELOISE; SISTER SARA PROCTOR, PROGRAM COORDINATOR, CATHOLIC MOBILE MEDICAL SERVICES; FRANK RIDDICK, CHAIRMAN, TAMPA CITY COUNCIL; CLARA REYNOLDS, PRESIDENT/CEO, CRISIS CENTER OF TAMPA BAY; ASHLEY RIVERA, CHIEF EXECUTIVE OFFICER, WE CARE OF POLK COUNTY; MARGARITA ROMO, EXECUTIVE DIRECTOR, FARMWORKERS SELF-HELP, INC.; JOLENE ROWE, SOCIAL WORK SUPERVISOR, MOFFITT CANCER CENTER; LEISA STANLEY, PHD, ASSOCIATE EXECUTIVE DIRECTOR, HEALTHY START COALITION OF HILLSBOROUGH COUNTY, INC.; DONNA THOMAS, ASSISTANT DIRECTOR, GOOD SAMARITAN HEALTH CLINIC OF PASCO; JOSSETTE TOULME, TREASURER, HAITIAN ASSOCIATION FOUNDATION OF TAMPA BAY, INC.; MARY LYNN ULREY, CEO, DRUG ABUSE COMP. COORDINATING OFFICE (DACCO); BRIAN WINFIELD, CHIEF FINANCIAL OFFICER (FORMERLY), EQUALITY FLORIDA INSTITUTE, INC.; AND CARRIE ZEISSE, CHIEF OPERATING OFFICER, UNITED WAY SUNCOAST
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 6b: IN OCTOBER 2015, MOFFITT COLLABORATED WITH THE FLORIDA DEPARTMENT OF HEALTH, HILLSBOROUGH COUNTY, TO COMPLETE THE CHNA AND LATER ESTABLISH HEALTHY HILLSBOROUGH. HEALTHY HILLSBOROUGH IS A COMMITTEE OF LOCAL HOSPITALS, THE COUNTY HEALTH DEPARTMENT, AND FEDERALLY QUALIFIED HEALTH CENTERS. THE PURPOSE OF HEALTHY HILLSBOROUGH WAS TO MEET THE FEDERAL CHNA REQUIREMENTS FOR ALL ENTITIES AND TO WORK COLLABORATIVELY IN THE PROCESS. THE ORGANIZATIONS INVOLVED ARE:FLORIDA DEPARTMENT OF HEALTH HILLSBOROUGH COUNTYFLORIDA HOSPITAL CARROLLWOODFLORIDA HOSPITAL TAMPASOUTH FLORIDA BAPTIST HOSPITALST. JOSEPH'S HOSPITALSUNCOAST COMMUNITY HEALTH CENTERSTAMPA FAMILY HEALTH CENTERSTAMPA GENERAL HOSPITAL
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 11: BASED ON THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, LEGACY CONSULTING GROUP IDENTIFIED TWELVE SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY. THESE TWELVE NEEDS CAN BE GROUPED INTO FOUR BASIC CATEGORIES: -ACCESS TO CARE (TRANSPORTATION FOR DISADVANTAGED, AVAILABILITY OF PRIMARY CARE PHYSICIANS, HEALTH CARE NAVIGATION); -SCREENING AND PREVENTION, GENERAL (LUNG CANCER, BREAST CANCER, PROSTATE CANCER, COLORECTAL CANCER, SMOKING CESSATION);-CANCER EDUCATION AND AWARENESS; AND -OBESITY (ACCESS TO HEALTHY FOODS, DIET/NUTRITION, EXERCISE).IN ORDER TO EVALUATE AND PRIORITIZE THESE NEEDS, A MEETING OF THE MOFFITT CANCER CENTER COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE WAS HELD ON MARCH 24, 2016, AT THE MOFFITT BUSINESS CENTER IN TAMPA. TEN COMMITTEE MEMBERS ATTENDED IN PERSON AND THREE PARTICIPATED BY PHONE. THE PRIORITIZING CRITERIA WERE BASED ON ALIGNMENT TO MOFFITT'S MISSION, THE ABILITY AND FEASIBILITY TO ADDRESS A PARTICULAR HEALTH NEED, AND THE RESULTING IMPACT AND BENEFIT TO THE COMMUNITY. THE STEERING COMMITTEE DECIDED THAT MOFFITT WOULD NOT ADDRESS "AVAILABILITY OF PRIMARY CARE PHYSICIANS AND "OBESITY" SINCE THESE ISSUES EITHER DO NOT ALIGN WITH MOFFITT'S MISSION AND VISION OR THAT OTHER ENTITIES WERE BETTER EQUIPPED TO ADDRESS THEM. IN ADDITION, "GENERAL CANCER EDUCATION AND AWARENESS" CONTINUES TO BE A CORNERSTONE OF MOFFITT'S STRATEGIC PLAN. IT HAS INCORPORATED SEVERAL EDUCATION AND AWARENESS PROGRAMS IN THE IMPLEMENTATION WHICH FOLLOWS.
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 13b: PATIENTS WHO ARE MEDICALLY NEEDY MAY STILL APPLY FOR FINANCIAL ASSISTANCE, BUT WILL PRESUMPTIVELY QUALIFY FOR FINANCIAL ASSISTANCE IF THEY CANNOT MEET THEIR SHARE OF COST AS DETERMINED BY THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES. THE LEVEL OF ASSISTANCE WILL BE DETERMINED BY WHICH INCOME LEVEL THE PATIENT'S SHARE OF COST FALLS ON THE FEDERAL POVERTY GUIDELINES.
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 15e: METHOD BY WHICH PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE:A. PATIENTS THAT REQUEST FINANCIAL ASSISTANCE OR WHO HAVE BEEN IDENTIFIED AS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE REFERRED TO THE CENTER'S FINANCIAL COUNSELORS.B. PATIENTS MAY CONTACT THE MOFFITT CANCER CENTER BUSINESS OFFICE AT 12902 MAGNOLIA DRIVE, MCB-BO, TAMPA, FLORIDA 33612, OR CALL 1-800-456-3434 EXT. 8422 OR THE DIRECT NUMBER AT 813-745-8422 FOR INFORMATION AND ASSISTANCE REGARDING THE FINANCIAL ASSISTANCE APPLICATION.C. PATIENTS WILL BE INFORMED OF THE PROCESS AND PROCEDURES INVOLVED FOR A FINANCIAL ASSISTANCE APPLICATION EITHER BEFORE RECEIVING SERVICES OR DURING THE BILLING AND COLLECTION PROCESS.D. THE PATIENT AND/OR THE PATIENT'S FAMILY WILL BE ADVISED OF ALL DOCUMENTATION REQUIRED TO MAKE A DETERMINATION AS TO ELIGIBILITY FOR FINANCIAL ASSISTANCE.E. A FINANCIAL COUNSELOR WILL INTERVIEW THE PATIENT OR THE PATIENT'S RELATIVES WHO ARE LEGALLY RESPONSIBLE FOR THE PATIENT'S SUPPORT IN COMPLIANCE WITH HIPAA GUIDELINES. DURING THE INTERVIEW, THE FINANCIAL COUNSELOR WILL GATHER INFORMATION ABOUT THE PATIENT'S CIRCUMSTANCES AND ABILITY TO PAY AND, IF REQUESTED, MAY ASSIST THE PATIENT OR PATIENT'S FAMILY IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. ANY PATIENT WHO IS FINANCIALLY SUPPORTED BY ANOTHER PERSON, AS DEEMED BY THE CENTER, MUST ALSO PROVIDE INCOME, ASSETS, TAX RECORDS OR OTHER DOCUMENTS TO DETERMINE PATIENT ELIGIBILITY.F. A PATIENT AND/OR A PATIENT'S FAMILY MAY ALSO MEET WITH THE CENTER'S PHARMACY REPRESENTATIVE TO APPLY FOR AVAILABLE ASSISTANCE PROGRAMS FOR PHARMACEUTICAL CARE.G. A REQUEST FOR FINANCIAL ASSISTANCE AND A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE SHOULD OCCUR PRIOR TO RENDERING NON-EMERGENT MEDICALLY NECESSARY SERVICES. HOWEVER, THE DETERMINATION MAY BE DONE AT ANY POINT IN THE COLLECTION PROCESS.H. IF THE MARITAL STATUS OF A MINOR CANNOT BE DETERMINED, OR WHERE THERE IS NOT SUFFICIENT DOCUMENTATION TO CONFIRM A MINOR'S EMANCIPATION, ELIGIBILITY OF FINANCIAL ASSISTANCE WILL BE BASED ON THE INCOME AND ASSETS OF THE PARENT/PARENTS OR LEGAL GUARDIAN OF THE MINOR. DOCUMENTATION PROVIDED FOR THE FINANCIAL ASSISTANCE APPLICATION MUST BE CONSISTENT WITH ALL OTHER DOCUMENTATION PRESENTED FOR REVIEW.
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 16i: REFERENCE TO THE POLICY IS ADDED TO THE BILLING INVOICE STATING THAT A MOFFITT REPRESENTATIVE CAN HELP EVALUATE ELIGIBILITY FOR FINANCIAL ASSISTANCE IF THE PATIENT IS UNABLE TO PAY. HOSPITAL'S BILLING AND COLLECTIONS AREA OF ITS WEBSITE ALSO STATES THAT IF A PATIENT IS UNDERINSURED OR UNABLE TO PAY, A PATIENT ACCOUNT REPRESENTATIVE OR A SOCIAL WORKER WILL HELP IDENTIFY ASSISTANCE PROGRAMS THAT OFFER HELP IN MEETING FINANCIAL OBLIGATIONS.
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 20e: MOFFITT HOSPITAL DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 17. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, IT WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. MOFFITT HOSPITAL DOCUMENTS ITS DETERMINATION OF WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY.
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 21d: THE CANCER CENTER IS A SPECIALTY HOSPITAL AND THEREFORE, DOES NOT PROVIDE EMERGENCY MEDICAL TREATMENT WITHIN THE MEANING OF SECTION 1867 OF THE SOCIAL SECURITY ACT (42 USC 1395DD). IF, HOWEVER, AN INDIVIDUAL SEEKING SUCH CARE ENTERS THE CANCER CENTER'S FACILITY, THE CANCER CENTER WITHOUT DISCRIMINATION WILL STABILIZE THE PATIENT AND ASSIST THE PATIENT AND/OR THE PATIENT'S FAMILY IN OBTAINING TRANSPORTATION FOR THE PATIENT TO A LOCAL HOSPITAL EQUIPPED FOR EMERGENCY MEDICAL CARE.
H LEE MOFFITT CANCER CENTER & RESEARCH	Part V, Section B, Line 22d: THE CENTER'S CURRENT AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE IS THIRTY-FIVE PERCENT (35%). THE CENTER DETERMINES THE AGB ANNUALLY BY USING THE LOOK-BACK METHOD, AS DESCRIBED AT 26 CFR S. 1.501(R)-5(B)(3). SPECIFICALLY, THE CENTER DIVIDES THE SUM OF THE AMOUNTS OF ALL OF ITS CLAIMS FOR MEDICALLY NECESSARY CARE THAT HAVE BEEN ALLOWED BY HEALTH INSURERS, INCLUDING MEDICARE, MEDICAID, AND ALL PRIVATE HEALTH INSURERS, DURING A PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.
PART V, LINE 16a-c:	WWW.MOFFITT.ORG/PATIENT-FAMILY/INSURANCE-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 3c:	CHARITY ADJUSTMENTS ARE PROVIDED BY THE CANCER CENTER AS FOLLOWS:A. PATIENTS WHO HAVE FAMILY INCOME AND ASSETS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES FOR THE PATIENT'S FAMILY SIZE SHALL BE ENTITLED TO 100% FINANCIAL ASSISTANCE ON QUALIFYING BALANCES.B. PATIENTS WHO HAVE FAMILY INCOME AND ASSETS BETWEEN 201%-400% OF THE FEDERAL POVERTY GUIDELINE FOR THE PATIENT'S FAMILY SIZE SHALL BE CLASSIFIED AS "SELF PAY TIER 1" STATUS AND ARE ENTITLED TO FINANCIAL ASSISTANCE OF 65% ON QUALIFYING BALANCES.C. PATIENTS WHO ARE MEDICALLY NEEDY MAY STILL APPLY FOR FINANCIAL ASSISTANCE, BUT WILL PRESUMPTIVELY QUALIFY FOR FINANCIAL ASSISTANCE IF THEY CANNOT MEET THEIR SHARE OF COST AS DETERMINED BY THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES. THE LEVEL OF ASSISTANCE WILL BE DETERMINED BY WHICH INCOME LEVEL THE PATIENT'S SHARE OF COST FALLS ON THE FEDERAL POVERTY GUIDELINES.
Part I, Line 7:	METHODOLOGY USED TO CALCULATE CHARITY CARE, MEDICAID, AND OTHER MEANS-TESTED EXPENSES IS COST TO CHARGE RATIO, USING PATIENT EXPENSES TO GROSS CHARGES, WHILE THE DIRECT COST METHOD IS USED TO DETERMINE OTHER COMMUNITY BENEFITS/PROGRAMS EXPENSES.
Part I, Ln 7 Col(f):	OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN A FOR HOSPITAL IS $700,127,638. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $5,305,063. AFTER BAD DEBT WAS DEDUCTED FROM THE TOTAL EXPENSES THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN F WAS $694,822,575.
Part III, Line 2:	THE METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE WAS CALCULATING THE COST TO CHARGE RATIO, USING PATIENT EXPENSES TO GROSS CHARGES, AND APPLYING IT TO THE BAD DEBT PROVISION IN PART III, LINE 4.
Part III, Line 4:	ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS ARE WRITTEN OFF WHEN DEEMED TO BE UNCOLLECTIBLE AND ARE DEDUCTED FROM THE PATIENT'S ACCOUNTS RECEIVABLE BALANCE.THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. ONE TOOL USED IN MANAGEMENT'S ASSESSMENT IS A DETAILED REVIEW OF HISTORICAL COLLECTIONS AND WRITE-OFFS AT THE CANCER CENTER THAT REPRESENT A MAJORITY OF THE CANCER CENTER'S REVENUES AND ACCOUNTS RECEIVABLE. THE RESULTS OF THE DETAILED REVIEW OF HISTORICAL COLLECTIONS AND WRITE-OFFS EXPERIENCE, ADJUSTED FOR CHANGES IN TRENDS AND CONDITIONS, ARE USED TO EVALUATE THE ALLOWANCE AMOUNT FOR THE CURRENT PERIOD.
Part III, Line 8:	THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS THE STEP DOWN METHOD WHICH DISALLOWS CERTAIN COSTS TO BE CONSIDERED AS COSTS RELATED TO PATIENT CARE. MEDICARE SHORTFALLS WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT OF ITS PATIENTS SHOULD BE TREATED AS COMMUNITY BENEFIT. TO NOT INCUR THESE COST WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED TO THE ELDERLY OR DISABLED.
Part III, Line 9b:	PATIENTS ARE SCREENED DURING THE ADMISSIONS PROCESS TO ASSESS THE NEED FOR FINANCIAL ASSISTANCE. HOWEVER, IF AT ANY POINT IN THE COLLECTION PROCESS IT IS DETERMINED THAT THE PATIENT MAY BE UNABLE TO MEET ITS OBLIGATION, THE PATIENT WILL BE SENT AN APPLICATION FOR FINANCIAL ASSISTANCE OR CHARITY ADJUSTMENT. IF PATIENT DOES NOT EXPRESS THE INABILITY TO PAY PRIOR TO BILLING, AN INVOICE IS SENT TO THE PATIENT WHICH INCLUDES CONTACT INFORMATION FOR A PATIENT SERVICE REPRESENTATIVE IF THE PATIENT NEEDS FINANCIAL ASSISTANCE. A HOSPITAL REPRESENTATIVE WILL MAKE EVERY EFFORT TO WORK WITH THE PATIENT TO DETERMINE WHETHER FINANCIAL ASSISTANCE IS NEEDED. IF THE PATIENT DOES NOT STATE THE NEED OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE THEREAFTER, AND PAYMENTS ARE NOT MADE AS AGREED, THE HOSPITAL REPRESENTATIVE MAY OFFER REASONABLE PAYMENT PLANS TO HELP PATIENTS MEET THEIR FINANCIAL OBLIGATIONS.
Part VI, Line 2:	THE H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE (MOFFITT) IS A NATIONALLY RECOGNIZED COMPREHENSIVE CANCER CENTER WHOSE MISSION IS "TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER." LOCATED IN TAMPA, FLORIDA, MOFFITT PRIMARILY SERVES A FOUR COUNTY CATCHMENT AREA (HILLSBOROUGH, PASCO, PINELLAS, AND POLK) AND AN ELEVEN COUNTY SECONDARY AREA (CHARLOTTE, CITRUS, DESOTO, HARDEE, HERNANDO, HIGHLANDS, LAKE, LEE, MANATEE, SARASOTA, AND SUMTER).ITS COMMUNITY BENEFIT MISSION IS TO PROVIDE PATIENT-CENTERED AND CULTURALLY COMPETENT OUTREACH, EDUCATION, TRAINING, AND RESOURCES THROUGHOUT THE GREATER TAMPA BAY COMMUNITY AND THE STATE OF FLORIDA TO SUPPORT PATIENTS, FAMILIES AND CLINICIANS IN ADVANCING CANCER PREVENTION, EARLY DETECTION, CLINICAL CARE, AND RESEARCH SPECIFICALLY FOR THOSE AT-RISK POPULATIONS DISPROPORTIONATELY IMPACTED BY THE DISEASE.IN 2015 MOFFITT CONTRACTED WITH LEGACY CONSULTING GROUP, A HEALTHCARE CONSULTING ORGANIZATION WITH A LOCAL OFFICE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN AN EFFORT TO ASSIST IN TARGETING ITS STRATEGIC GOALS, SPECIFICALLY:DEMONSTRATE AND PROMOTE SUPERIOR PERFORMANCE EMBODYING HIGH-QUALITY, COST EFFECTIVE CARE;DEVELOP A NETWORK THAT BROADENS MOFFITT'S REACH, PROVIDES ACCESS TO ITS EXPERTISE AND DELIVERS SUPERIOR VALUE;DEMONSTRATE STRONG FINANCIAL STEWARDSHIP THAT EMBODIES A FRESH REVIEW, REPRIORITIZATION AND REENGINEERING OF MOFFITT'S HISTORICAL BUSINESS MODELS;ENHANCE AND STRENGTHEN MOFFITT'S PROVISION OF PRECISION MEDICINE; AND, MAXIMIZE MOFFITT'S AWARENESS AND REPUTATION IN THE STATE AND NATION, REFLECTING ITS SUPERIOR VALUE AND PIONEERING STRENGTHS.THE CHNA DEFINES HEALTH IN THE BROADEST SENSE AND RECOGNIZES NUMEROUS FACTORS AT MULTIPLE LEVELS, FROM LIFESTYLE BEHAVIORS (E.G., DIET AND EXERCISE) TO CLINICAL CARE (E.G., ACCESS TO MEDICAL SERVICES) TO SOCIAL AND ECONOMIC FACTORS (E.G., EMPLOYMENT OPPORTUNITIES) TO THE PHYSICAL ENVIRONMENT (E.G., AIR QUALITY), ALL HAVE AN IMPACT ON THE COMMUNITY'S HEALTH. EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA WERE DRAWN FROM SUCH SOURCES AS U.S. CENSUS BUREAU, FLORIDA DEPARTMENT OF HEALTH, NIELSEN/CLARITAS, AND THE CDC.
Part VI, Line 3:	PUBLICATION OF THE POLICY:A. THE CENTER WILL MAKE THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY WIDELY AVAILABLE ON ITS WEBSITE. INDIVIDUALS WITH ACCESS TO THE INTERNET CAN ACCESS, DOWNLOAD, VIEW, AND PRINT A HARD COPY OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY FROM THE WEBSITE:I. WITHOUT REQUIRING SPECIAL COMPUTER HARDWARE OR SOFTWARE (OTHER THAN SOFTWARE THAT IS READILY AVAILABLE TO MEMBERS OF THE PUBLIC WITHOUT PAYMENT OF ANY FEE);II. WITHOUT PAYING A FEE TO THE CENTER; ANDIII. WITHOUT CREATING AN ACCOUNT OR BEING OTHERWISE REQUIRED TO PROVIDE PERSONALLY IDENTIFIABLE INFORMATION.B. THE CENTER WILL PROVIDE ANY INDIVIDUALS WHO ASK HOW TO ACCESS A COPY OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY ONLINE WITH THE DIRECT WEBSITE ADDRESS, OR URL, OF THE WEB PAGE WHERE THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY ARE POSTED.C. THE CENTER WILL MAKE PAPER COPIES OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH BY MAIL AND IN PUBLIC LOCATIONS AT THE CENTER, INCLUDING ANY ADMISSIONS AREAS.D. THE CENTER WILL NOTIFY AND INFORM PATIENTS WHO RECEIVE CARE AT THE CENTER ABOUT THIS POLICY BY:I. OFFERING A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS PART OF THE INTAKE OR DISCHARGE PROCESS; ANDII. INCLUDING A CONSPICUOUS WRITTEN NOTICE ON BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF THE CENTER OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THIS POLICY AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS ALONG WITH THE DIRECT WEBSITE ADDRESS (OR URL) WHERE COPIES OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY MAY BE OBTAINED.E. AT ANY TIME DURING THE PATIENT'S TREATMENT THE PATIENT MAY REQUEST A COPY OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, OR THE PLAIN LANGUAGE SUMMARY OF THIS POLICY.F. IF A MEMBER OF THE WORKFORCE BECOMES AWARE OF THE PATIENT'S NEED FOR FINANCIAL ASSISTANCE DURING THE ADMISSION PROCESS, THE PSS WILL PROVIDE THE PATIENT WITH THE NECESSARY INFORMATION NEEDED TO APPLY FOR FINANCIAL ASSISTANCE.G. THE CENTER WILL ALSO TRANSLATE THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY INTO THE PRIMARY LANGUAGES SPOKEN BY ALL SIGNIFICANT POPULATIONS SERVED BY THE CENTER.
Part VI, Line 4:	DEMOGRAPHICS OF MOFFITT'S SERVICE AREA:BASED ON AN ASSESSMENT OF MOFFITT'S PATIENT ORIGIN AND DISCUSSIONS WITH KEY MOFFITT STAKEHOLDERS, MOFFITT'S PRIMARY SERVICE AREA ("COMMUNITY SERVED") HAS BEEN DEFINED AS ALL RESIDENTS OF HILLSBOROUGH, PASCO, PINELLAS, AND POLK COUNTIES IN WEST CENTRAL FLORIDA. THIS AREA IS HOME TO 3.4 MILLION PEOPLE WITH AN ANTICIPATED GROWTH OF 5.5% BY 2020. IN ADDITION, A SECONDARY SERVICE AREA COMPRISING RESIDENTS OF CHARLOTTE, CITRUS, DESOTO, HARDEE, HERNANDO, HIGHLANDS, LAKE, LEE, MANATEE, SARASOTA, AND SUMTER COUNTIES HAS ALSO BEEN DEFINED FOR MOFFITT'S RESEARCH INITIATIVES.THE CURRENT (2015) POPULATION OF THE PRIMARY SERVICE AREA STANDS AT 3,375,615. HILLSBOROUGH COUNTY ACCOUNTS FOR THE LARGEST SHARE (39%) OF THIS TOTAL. PRIMARY SERVICE AREA POPULATION IS EXPECTED TO GROW TO 3,559,672 BY 2020, A GROWTH OF 5.5% OR 184,057 PEOPLE. THE SECONDARY SERVICE AREA'S CURRENT POPULATION IS 2,498,932 AND IS EXPECTED TO GROW BY 5.8% TO 2,654,040 BY 2020. HEAVIEST GROWTH IN THE PRIMARY SERVICE AREA IS EXPECTED TO BE AMONG THOSE AT LEAST 65 YEARS OF AGE. GROWTH IN THIS GROUP IS EXPECTED TO BE 17.1% BETWEEN 2015 AND 2020, REPRESENTING 58.7% OF TOTAL GROWTH IN THE FOUR COUNTY AREA.THE PRIMARY SERVICE AREA COMPRISES 63.6% WHITE RESIDENTS, 12.5% BLACK RESIDENTS, AND 18.5% HISPANICS. BY COMPARISON, THE SECONDARY SERVICE AREA HAS A SOMEWHAT LARGER WHITE POPULATION (74.8%), A SMALLER BLACK POPULATION (7.4%), AND A SMALLER HISPANIC POPULATION (14.3%) THAN IN THE PRIMARY SERVICE AREA.THE VAST MAJORITY OF PRIMARY SERVICE AREA RESIDENTS (87.5%) ARE NATIVE BORN. THE COMPARABLE FIGURE FOR FLORIDA IS 80.4%. ONE IN FIVE (20.0%) SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, PRIMARILY SPANISH. ABOUT 7.4% OF PRIMARY SERVICE AREA RESIDENTS REPORT THAT THEY DO NOT SPEAK ENGLISH VERY WELL, SOMEWHAT LESS THAN FOR FLORIDA OVERALL (11.7%). RESIDENTS OF HILLSBOROUGH COUNTY ARE SOMEWHAT BETTER OFF FINANCIALLY THAN ARE RESIDENTS OF THE STATE OVERALL. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY IS ESTIMATED TO BE $50,122, ABOUT 6% HIGHER THAN THE STATE'S MEDIAN HOUSEHOLD INCOME OF $47,212. SOME 79.3% OF THE COUNTY'S HOUSEHOLDS RECEIVED EARNINGS DURING THE PERIOD 2010-2014 COMPARED TO 72.4% OF THE STATE. IN ADDITION, A SMALLER PERCENTAGE OF THE COUNTY'S HOUSEHOLDS REPORTED RECEIVING SOCIAL SECURITY BENEFITS THAN IS THE CASE FOR THE STATE OVERALL. HOWEVER, A LARGER PERCENTAGE OF THE COUNTY'S RESIDENTS (3.3%) RECEIVED CASH ASSISTANCE THAN DID THE STATE'S RESIDENTS (2.2%) AND A HIGHER PERCENTAGE (15.7%) RECEIVED FOOD STAMP BENEFITS THAN IS THE CASE FOR THE STATE OVERALL (14.3%). THE PRIMARY SERVICE AREA'S HOUSEHOLD INCOME DISTRIBUTION IS VIRTUALLY IDENTICAL TO THAT FOR FLORIDA. WHILE POLK COUNTY HAS THE HIGHEST LEVEL OF HOUSEHOLDS WITH INCOMES UNDER $25,000 (27.1%), HILLSBOROUGH COUNTY HAS THE HIGHEST LEVEL OF HOUSEHOLDS WITH INCOMES OF AT LEAST $100,000 (20.9%).
Part VI, Line 5:	IN 2013, MOFFITT'S LAST CHNA DETERMINED FIVE PRIORITIES TO ADDRESS. BELOW IS A SUMMARY OF THOSE PRIORITIES AND HOW EACH PRIORITY AREA HAS BEEN ADDRESSED SINCE THE LAST CHNA.CULTURAL COMPETENCE: EFFORTS TO ADDRESS CULTURAL COMPETENCE FOCUSED ON PROVIDING INTERNAL AND EXTERNAL CULTURAL AND LINGUISTIC COMPETENCE (CLC) INITIATIVES. THE LANGUAGE SERVICES TEAM AVERAGED MORE THAN 7,000 INTERPRETING ENCOUNTERS AND MORE THAN 450 TRANSLATION PROJECTS EACH YEAR. ALSO, LANGUAGE SERVICES EDUCATION WAS PROVIDED TO CLINICAL TEAMS TO IMPROVE EFFICACY IN COMMUNICATING WITH PATIENTS, FAMILIES, AND WITH MEDICAL INTERPRETERS.A CLC STEERING COMMITTEE WAS CREATED TO IMPROVE PATIENT EXPERIENCE, CLC EDUCATION, DATA COLLECTION, AND LANGUAGE AND COMMUNICATION SERVICES. AN EXTERNAL ADVISORY COMMITTEE OF NATIONAL EXPERTS ALSO HELPED GUIDE MOFFITT ON IMPLEMENTING CLC INITIATIVES. ADDITIONALLY, AN ONLINE CLC TRAINING WAS PILOTED FOR CLINICAL FACULTY IN 2014 AND IMPLEMENTED ORGANIZATION WIDE IN 2016.PREVENTION, SCREENING, EDUCATION & OUTREACH: THE MOFFITT PROGRAM FOR OUTREACH, WELLNESS, EDUCATION AND RESOURCES (M-POWER) AVERAGES NEARLY 170 HEALTH EDUCATION WORKSHOPS ON CANCER PREVENTION AND SCREENING AND REACHES OVER 5,000 INDIVIDUALS EACH YEAR. M-POWER: HEALTH INITIATIVES - COMMUNITY HEALTH WORKER TRAINING: THIS PROGRAM EDUCATES INDIVIDUALS BY TRAINING THEM ON THE PRINCIPLES OF BEING A CHW. THE PROGRAM'S GOAL IS TO INCREASE KNOWLEDGE AND AWARENESS, EMPOWER INDIVIDUALS TO BECOME PROACTIVE ABOUT THEIR HEALTH, AND TO ENCOURAGE COMMUNITY ADVOCACY IN THE AFRICAN AMERICAN, HISPANIC/LATINO AND HAITIAN COMMUNITIES. CHW TRAININGS UTILIZE EDUCATIONAL KITS CREATED BY THE M-POWER TEAM. THE TOOLKIT IS A LOW-LITERACY AND CULTURALLY APPROPRIATE TOOL THAT COVERS BREAST, CERVICAL, AND PROSTATE CANCERS. THE TOOLKITS ARE AVAILABLE IN ENGLISH, SPANISH AND HAITIAN CREOLE. CHW TRAINING PARTICIPANTS LEARN ABOUT ADULT LITERACY, ADULT EDUCATION, EDUCATION DELIVERY METHODS, ROLE-PLAYING, SCREENING RECOMMENDATIONS, AND HEALTH DISPARITIES. THE M-POWER TEAM HAS TRAINED NEARLY 300 INDIVIDUALS THROUGHOUT THE STATE OF FLORIDA, INCLUDING GAINESVILLE, JACKSONVILLE, MIAMI, TAMPA, ST. PETERSBURG, TALLAHASSEE, ARCADIA, AND ORLANDO.M-POWER: HEALTH INITIATIVES - EMPOWERMENT PROJECT:THIS PROGRAM FOCUSES ON THE DELIVERY OF MEN'S HEALTH EDUCATION TO UNDERSERVED MEN IN THE TAMPA BAY AREA ON CANCER PREVENTION AND HEALTHY LIFESTYLES. THIS PROGRAM IS TAUGHT IN A 5 WEEK SERIES FOCUSING ON CANCER PREVENTION TOPICS AFFECTING MEN SUCH AS HEALTHY LIFESTYLES, COLORECTAL, PROSTATE, LUNG AND SKIN CANCERS IN CHURCHES, HALFWAY HOUSES, HOMELESS SHELTERS, COMMUNITY CENTERS AND SCHOOLS. ITS FOCUS IS TO EMPOWER MEN TO HAVE THE TOOLS NECESSARY TO MAKE HEALTHY CHOICES.M-POWER: HEALTH INITIATIVES - MOFFITT HEALTHY KIDZ PROGRAM: THIS 5-WEEK HEALTHY LIFESTYLES PROGRAM FOCUSED ON CHILDREN IS A PARTNERSHIP FORGED BETWEEN HILLSBOROUGH COUNTY PUBLIC LIBRARY COOPERATIVE, HEAD START, LOCAL SCHOOLS AND LED BY MOFFITT. MOFFITT HEALTH KIDZ PROMOTES HEALTHY LIFESTYLES AND LITERACY BY PROVIDING CANCER AWARENESS EDUCATION AND WELLNESS TIPS IN A FUN, FAMILY-FRIENDLY ENVIRONMENT. CHILDREN LEARN ABOUT THE DANGERS OF SMOKING, PROTECTION FROM THE SUN, FITNESS, AND NUTRITION THROUGH CREATIVE GAMES, HANDHELD LEARNING MODELS, AND CRAFTS WHILE INFUSING ACTIVE LEARNING METHODS TO AROUSE CURIOSITY, MAKING HEALTHY CHOICES EASY TO UNDERSTAND AND EMPOWERING CHILDREN TO TEACH THEIR FAMILIES TO ADOPT THEM.M-POWER: HEALTH INITIATIVES - THE WITNESS PROJECT: THE WITNESS PROJECT OF TAMPA BAY: THIS NATIONAL FAITH-BASED PROGRAM PLACES EMPHASIS ON THE EARLY DETECTION OF BREAST AND CERVICAL CANCER IN THE AFRICAN AMERICAN COMMUNITY THROUGH EDUCATION IN CHURCHES. THIS PROGRAM UTILIZES SURVIVORS (CALLED WITNESS PROJECT ROLE MODELS) WHO "WITNESS OR TESTIFY ABOUT THEIR TRIUMPH OVER BREAST OR CERVICAL CANCER. ADDITIONALLY, LAY HEALTH ADVISORS (LHAS), PROVIDE INFORMATION TO PROGRAM PARTICIPANTS ON BREAST AND CERVICAL CANCER, HPV, HEALTHY LIFESTYLES, SCREENINGS AND SERVICES. PROGRAMS ARE CONDUCTED IN LOCAL CHURCHES, COMMUNITY CENTERS AND SOCIAL SERVICE ORGANIZATIONS. CURRENTLY, THERE OVER 20 WOMEN TRAINED TO SERVE AS EITHER WITNESS ROLE MODELS OR LAY HEALTH ADVISORS. IN 2010, THE WITNESS PROJECT STARTED SURVIVORS APPLYING FAITH AND ENCOURAGEMENT (S.A.F.E.), A SUPPORT GROUP FOCUSED ON PROVIDING SURVIVORS WITH SUPPORT THROUGHOUT THEIR CANCER JOURNEY.M-POWER: HEALTH INITIATIVES - YO ME CUIDO: YO ME CUIDO IS A BREAST HEALTH EDUCATION PROGRAM THAT FOCUSES ON THE IMPORTANCE OF EARLY DETECTION IN LATINAS. LATINAS ARE MORE LIKELY TO BE DIAGNOSED AT MORE ADVANCED STAGES OF BREAST CANCER WHERE FEWER TREATMENT OPTIONS ARE AVAILABLE. THE HEALTH EDUCATION WORKSHOPS ARE DELIVERED IN ENGLISH AND SPANISH AND FOCUS ON BREAST CANCER STATISTICS, MAMMOGRAPHY SCREENING RECOMMENDATIONS, AND RISK REDUCTION THROUGH HEALTHY LIFESTYLES.M-POWER: SUPPORT SERVICES: MAMMOGRAPHY VOUCHERS: THIS PROGRAM NOW UTILIZES A VOUCHER SYSTEM THROUGH WHICH WOMEN SCHEDULE APPOINTMENTS WITH THE LIFETIME CANCER SCREENING AND PREVENTION CENTER TO RECEIVE SCREENING SERVICES. THE QUALIFICATIONS FOR THE VOUCHER ARE BASED ON SEVERAL FACTORS INCLUDING INCOME (E.G., THOSE EARNING LESS THAN 200% OF THE US FEDERAL POVERTY GUIDELINES). ADDITIONALLY, M-POWER ORGANIZES QUARTERLY "COMMUNITY DAYS" WHERE TRANSPORTATION TO LIFETIME IS PROVIDED SO THAT WOMEN IN NEED ARE ABLE TO RECEIVE MAMMOGRAPHY-RELATED SCREENINGS.MOLE PATROL ORGANIZES OVER 15 SKIN CANCER SCREENING AND EDUCATION EVENTS IN THE COMMUNITY AND REACHES OVER 1,000 INDIVIDUALS EACH YEAR.MOFFITT'S LUNG AND THORACIC TUMOR EDUCATION (LATTE) PROGRAM CONDUCTS OVER 20 COMMUNITY OUTREACH AND ADVOCACY EVENTS ON LUNG CANCER EACH YEAR.HEALTH DISPARITIES: RESEARCH AND EDUCATIONAL EFFORTS HAVE BEEN IMPLEMENTED TO ADDRESS CANCER HEALTH DISPARITIES. SPECIFICALLY, HEALTH EDUCATION HAS BEEN DELIVERED TO COMMUNITY HEALTH WORKERS ACROSS FLORIDA VIA WEBINARS TO HELP REACH SPECIFIC POPULATIONS WITH RISING CANCER RATES. MOFFITT HOSTS THE MEN'S HEALTH FORUM TO PROVIDE HEALTH SCREENINGS FOR MEN WHO ARE MEDICALLY UNDERSERVED, REACHING OVER 500 MEN EACH YEAR.THE POPULATION SCIENCES RESEARCH PROGRAM FOCUSES ITS RESEARCH STRATEGIES TO ADDRESS AND REDUCE CANCER HEALTH DISPARITIES. THE CLINICAL TRIALS TASK FORCE DEVELOPED STRATEGIES TO INCREASE MINORITY ACCRUAL IN CLINICAL TRIALS. THE PHYSICIANS RELATIONS TEAM PARTNERS WITH PHYSICIANS SERVING IN MINORITY CATCHMENT AREAS AND EDUCATES THEM ON HEALTH DISPARITIES.ACCESS: NO COST MAMMOGRAMS AND PROSTATE CANCER SCREENINGS HAVE BEEN OFFERED TO AN AVERAGE OF OVER 600 WOMEN AND 200 MEN WHO ARE UNINSURED EACH YEAR TO ALLEVIATE FINANCIAL BARRIERS FOR ACCESSING CARE. ALSO, PATIENT AND FAMILY SERVICES OFFERS CAB VOUCHERS, ROUND TRIP TICKETS, GIFT CARDS, AND HOUSING SERVICES, EXPENDING OVER $450,000, TO HELP PROVIDE SUPPORT TO HUNDREDS OF PATIENTS AND THEIR FAMILIES IN NEED EVERY YEAR.AS A TEACHING HOSPITAL MEDICAL RESIDENTS AND FELLOWS, AS WELL AS MEDICAL STUDENTS FROM THE USF COLLEGE OF MEDICINE AND OTHER SITES RECEIVE MEDICAL EDUCATION AND TRAINING THROUGH MOFFITT CANCER CENTER'S GRADUATE MEDICAL EDUCATION (GME) PROGRAM. TRAINEES LEARN PHYSICAL EXAMINATION SKILLS, ASSIST CANCER RESEARCHERS, STUDY STRATEGIES FOR PREVENTING CANCER AND COMPLETE ELECTIVES IN MANY ASPECTS OF ONCOLOGY, INCLUDING CANCER SCREENING.CANCER ANSWERS IS A TOLL FREE NATIONWIDE CANCER INFORMATION SERVICE STAFFED BY REGISTERED NURSES WHO PROVIDE ANSWERS TO CANCER RELATED QUESTIONS CONCERNING DIAGNOSIS, TREATMENT, NEW DISCOVERIES, DRUG THERAPIES, THE AVAILABILITY OF RESEARCH STUDIES AND CLINICAL TRIALS.
Part VI, Line 6:	TO FURTHER THE MISSION OF CONTRIBUTING TO THE PREVENTION AND CURE OF CANCER, MOFFITT CANCER CENTER COLLABORATES WITH RESPECTED ACADEMIC, HOSPITAL SYSTEMS, REGIONAL CARE CENTERS AND PHYSICIANS GROUPS KNOWN AS THE MOFFITT ONCOLOGY NETWORK.WHOLLY COMMITTED TO MOFFITT'S MODEL OF PATIENT-CENTERED, INTEGRATED CANCER CARE, THE MOFFITT ONCOLOGY NETWORK IS HELPING MOFFITT DEVELOP A PREMIER CANCER CARE DELIVERY SYSTEM, FOCUSED SOLELY ON PROVIDING PATIENTS THE BEST PERSONALIZED CANCER CARE. THE MOFFITT ONCOLOGY NETWORK IMPLEMENTS MOFFITT'S CLINICAL CARE MODEL, INCLUDING MULTIDISCIPLINARY CANCER CARE, PEER REVIEW, CLINICAL PATHWAYS AND QUALITY ASSURANCE.THE COMMUNITY HEALTH NEEDS ASSESSMENT DETERMINED OPPORTUNITIES THAT CAN BE ADDRESSED BY THE CANCER CENTER AS A WHOLE. THE CANCER CENTER'S NON-HOSPITAL FACILITIES DEDICATED TO SERVING INDIVIDUALS WHO ARE IN NEED OF FINANCIAL ASSISTANCE, HELPING TO DEVELOP AND FUND COMMUNITY PROGRAMS AND PERFORM TRANSLATIONAL RESEARCH TO BENEFIT THE COMMUNITY, INCLUDE MOFFITT FOUNDATION, MOFFITT MEDICAL GROUP, AND MOFFITT RESEARCH. MOFFITT FOUNDATION SOLICITS FUNDS TO SUPPORT THE WORK OF THE CANCER CENTER. DONATIONS MAINTAINED BY THE FOUNDATION MAY BE USED FOR A SPECIFIC PROGRAM OR MAY BE USED TO FURTHER THE OVERALL NEEDS OF THE COMMUNITY. MOFFITT MEDICAL GROUP EMPLOYS PHYSICIANS THAT STAFF THE HOSPITAL AND PROVIDE CLINICAL RESEARCH TO THE CANCER CENTER HEALTH CARE SYSTEM. THESE PHYSICIANS PROVIDE MEDICAL SERVICES TO THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, PHYSICIANS PARTICIPATE IN COMMUNITY RELATED PROGRAMS PROVIDING EDUCATION AND TRAINING. MOFFITT'S CANCER RESEARCH FACILITY PERFORMS STUDIES AND INVESTIGATIONS TO GENERATE GENERALIZABLE KNOWLEDGE AVAILABLE TO THE PUBLIC. THE RESEARCH FACILITY IS ALSO THE PARENT COMPANY OF THE CANCER CENTER HEALTH CARE SYSTEM THAT PLANS, DEVELOPS, AND IMPLEMENTS COMMUNITY BENEFIT PROGRAMS TO ADDRESS COMMUNITY NEEDS SEPARATELY FROM, AS WELL AS IN COLLABORATION WITH, THE HOSPITAL. COMMUNITY BENEFIT EXPENSES PERFORMED BY RELATED ENTITIES:MOFFITT MEDICAL GROUPFINANCIAL ASSISTANCE AT COST WAS $1,670,092PERCENT OF TOTAL MMG ENTITY EXPENSE: 1.29%PERCENT OF COMBINED EXPENSE: .19%MOFFITT MEDICAL GROUPHEALTH PROFESSIONS EDUCATION WAS $7,148,619PERCENT OF TOTAL MMG ENTITY EXPENSE: 5.50%PERCENT OF COMBINED EXPENSE: .73%MOFFITT MEDICAL GROUP'S BAD DEBT EXPENSE AT COST: $721,348MOFFITT RESEARCHRESEARCH NET COMMUNITY BENEFIT EXPENSE WAS $32,714,327PERCENT OF TOTAL AFFILIATE EXPENSE: 20.71%PERCENT OF COMBINED EXPENSE: 3.33%

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Yes

Any related organization? .........................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1W MICHAEL ALBERTSDIRECTOR, MEDICAL DIRECTOR MCKINLEY	(i) (ii)	313,784 ------------- 0	113,425 ------------- 0	39,208 ------------- 0	26,856 ------------- 0	22,934 ------------- 0	516,207 ------------- 0	0 ------------- 0
2JOHN A KOLOSKYHOSPITAL PRESIDENT	(i) (ii)	0 ------------- 600,516	0 ------------- 257,315	0 ------------- 84,634	0 ------------- 75,454	0 ------------- 21,083	0 ------------- 1,039,002	0 ------------- 0
3LOUIS D DE LA PARTEEVP-GEN COUNSEL, ASST SEC	(i) (ii)	0 ------------- 405,550	0 ------------- 174,254	0 ------------- 30,559	0 ------------- 32,202	0 ------------- 27,042	0 ------------- 669,607	0 ------------- 0
4G DOUGLAS LETSONEVP-PHYS IN CHIEF	(i) (ii)	543,509 ------------- 0	234,075 ------------- 0	55,567 ------------- 0	26,443 ------------- 0	24,402 ------------- 0	883,996 ------------- 0	0 ------------- 0
5YVETTE LYONS TREMONTIEVP-CFO & ASST TREASURER	(i) (ii)	0 ------------- 435,554	0 ------------- 186,073	0 ------------- 32,074	0 ------------- 35,568	0 ------------- 22,672	0 ------------- 711,941	0 ------------- 0
6BRAULIO VICENTESVP-HOSP OPERATIONS	(i) (ii)	316,861 ------------- 0	115,605 ------------- 0	25,919 ------------- 0	19,950 ------------- 0	31,221 ------------- 0	509,556 ------------- 0	0 ------------- 0
7JANE FUSILEROVP-PATIENT CARE SVS/CNO	(i) (ii)	306,106 ------------- 0	108,909 ------------- 0	4,535 ------------- 0	22,911 ------------- 0	23,372 ------------- 0	465,833 ------------- 0	0 ------------- 0
8ROBERT KEENANVP-QUAL & MED AFFAIRS/CMO	(i) (ii)	440,511 ------------- 0	79,650 ------------- 0	5,345 ------------- 0	0 ------------- 0	12,875 ------------- 0	538,381 ------------- 0	0 ------------- 0
9CYNTHIA TERRANOVP-PAYER STRATEGIES	(i) (ii)	172,965 ------------- 0	148,076 ------------- 0	20,000 ------------- 0	1,360 ------------- 0	0 ------------- 0	342,401 ------------- 0	0 ------------- 0
10JOANNA WEISSVP REV CYCLE MGMT	(i) (ii)	0 ------------- 217,870	0 ------------- 63,036	0 ------------- 848	0 ------------- 16,950	0 ------------- 30,157	0 ------------- 328,861	0 ------------- 0
11GENE WETZSTEINCHIEF PHARMACY OFFICER	(i) (ii)	188,485 ------------- 0	32,524 ------------- 0	8,094 ------------- 0	10,786 ------------- 0	27,072 ------------- 0	266,961 ------------- 0	0 ------------- 0
12VLADIMIR FEYGELMANASSOC MBR PHYSICIST	(i) (ii)	229,562 ------------- 0	500 ------------- 0	1,222 ------------- 0	24,366 ------------- 0	16,054 ------------- 0	271,704 ------------- 0	0 ------------- 0
13EDUARDO G MOROSSR MBR PHYSICIST	(i) (ii)	357,936 ------------- 0	500 ------------- 0	5,108 ------------- 0	26,443 ------------- 0	25,302 ------------- 0	415,289 ------------- 0	0 ------------- 0
14AMARJIT S SAINICOORD BRACHYTHERAPY PHYSIC	(i) (ii)	243,984 ------------- 0	500 ------------- 0	0 ------------- 0	12,674 ------------- 0	297 ------------- 0	257,455 ------------- 0	0 ------------- 0
15SIRIPORN SARANGKASIRICLINICAL PHYSICIST II	(i) (ii)	218,848 ------------- 0	500 ------------- 0	5,733 ------------- 0	14,640 ------------- 0	10,867 ------------- 0	250,588 ------------- 0	0 ------------- 0
16STUART G WASSERMANDIR CLINICAL PHYSICS	(i) (ii)	254,123 ------------- 0	39,886 ------------- 0	8,310 ------------- 0	10,786 ------------- 0	27,072 ------------- 0	340,177 ------------- 0	0 ------------- 0
17JULIE DJEUFORMER DIRECTOR, ACD RSCH EDUC	(i) (ii)	0 ------------- 298,339	0 ------------- 107,567	0 ------------- 9,016	0 ------------- 49,578	0 ------------- 16,155	0 ------------- 480,655	0 ------------- 0
18JANENE CULUMBERFORMER SVP-CFO&ASST TREAS	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 130,196	0 ------------- 0	0 ------------- 0	0 ------------- 130,196	0 ------------- 0
19WILLIAM S DALTONFORMER PRES/CEO	(i) (ii)	0 ------------- 643,507	0 ------------- 408,438	0 ------------- 45,823	0 ------------- 37,518	0 ------------- 26,203	0 ------------- 1,161,489	0 ------------- 0
20ALAN F LISTFORMER EVP-PHYS IN CHIEF	(i) (ii)	0 ------------- 780,687	0 ------------- 1,949,803	0 ------------- 174,221	0 ------------- 45,755	0 ------------- 37,617	0 ------------- 2,988,083	0 ------------- 0
21SCOTT D ELDREDGEFORMER KEY EMP, DEPT ADMIN	(i) (ii)	169,905 ------------- 0	24,057 ------------- 0	4,283 ------------- 0	16,260 ------------- 0	13,367 ------------- 0	227,872 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 3	HOSPITAL'S PRESIDENT IS PAID BY A RELATED ORGANIZATION WHICH ESTABLISHES COMPENSATION BY RELYING ON AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AN EXECUTIVE COMPENSATION COMMITTEE, AND THE APPROVAL BY THE BOARD OR THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD.
Part I, Lines 4a-b	IN GENERAL, HOSPITAL OFFERS SEVERANCE PAYMENTS TO TEAM MEMBERS IF THE TEAM MEMBER IS IN A POSITION THAT HAS BEEN ELIMINATED OR REALIGNED. JANENE J. CULUMBER, A FORMER OFFICER, LEFT MOFFITT INSTITUTE, A RELATED ORGANIZATION, ON MAY 25, 2014 AND CONTINUED TO RECEIVED SEVERANCE PAYMENTS OF $130,195.61 ELIGIBILITY TO PARTICIPATE IN/CONTRIBUTE TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IS BASED ON JOB POSITION, YEAR'S OF SERVICE AND ANNUAL SALARY THRESHOLD WHICH ASSISTS IN DETERMINING THE TIER FOR WHICH THE TEAM MEMBER IS CLASSIFIED. THE COMPANY'S MATCHING CONTRIBUTION VARIES BETWEEN TIERS. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND AMOUNTS LISTED ARE INCLUDED IN THEIR TOTAL COMPENSATION LISTED IN SCH J, PART II, COLUMN B, RESPECTIVELY: WILLIAM M. ALBERTS-$15,087 YVETTE M. LYONS TREMONTI-$29,772 JOHN A. KOLOSKY-$53,507 BRAULIO VICENTE-$10,980 LOUIS D. DE LA PARTE-$28,036 G. DOUGLAS LETSON-$44,113 WILLIAM S. DALTON-$0 ALAN F. LIST-$81,565 W. J. WILSON-$0 JULIE Y. DJEU-$0 JANE FUSILERO-$0
Part I, Line 6	IN GENERAL, INCENTIVE COMPENSATION IS BASED ON MOFFITT'S ACHIEVEMENT AGAINST SPECIFIC ORGANIZATIONAL GOALS RELATED TO NET OPERATING INCOME AND ON DIVISION OR INDIVIDUAL GOALS. NET OPERATING INCOME MUST MEET OR EXCEED A CERTAIN THRESHOLD IN ORDER TO TRIGGER A PAYOUT FOR THE ORGANIZATIONAL GOAL COMPONENTS.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CAITLAN CORDERO	SEE PART V	22,503	SEE PART V;ListTotal 0.00		No
(2) NICHOLAS ELDREDGE	SEE PART V	25,296	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART IV (LINE 1):	INTERESTED PERSON: CAITLAN CORDERORELATIONSHIP: FAMILY MEMBER OF BRAULIO VICENTE, OFFICERTRANSACTION: COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION
SCHEDULE L, PART IV (LINE 2):	INTERESTED PERSON: NICHOLAS ELDREDGERELATIONSHIP: FAMILY MEMBER OF SCOTT ELDREDGE, FORMER KEY EMPLOYEETRANSACTION: COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( EQUIPMENT )	X	3	1,073,042	PURCHASE PRICE
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Column (b):	THE NUMBER ON LINE 25(B) REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED, NOT THE NUMBER OF CONTRIBUTIONS.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC

Employer identification number

59-3238634

Return Reference	Explanation
Form 990, Part VI, Section A, line 2	THE HONORABLE H. LEE MOFFITT AND JENNIFER MOFFITT THAT SERVE ON THE HOSPITAL BOARD ARE FATHER AND DAUGHTER. THE FOLLOWING DIRECTORS AND OFFICERS, THAT JOINTLY SERVE ON THE HOSPITAL AND A FOR-PROFIT RELATED ENTITY, QUALIFY AS HAVING A BUSINESS RELATIONSHIP. HOSPITAL & MOFFITT GENETICS CORPORATION: H. LEE MOFFITT - DIRECTOR JOHN A. KOLOSKY - OFFICER LOUIS D. DE LA PARTE - OFFICER YVETTE LYONS TREMONTI - OFFICER HOSPITAL & MOFFITT TECHNOLOGIES CORPORATION: JOHN A. KOLOSKY - OFFICER LOUIS D. DE LA PARTE - OFFICER YVETTE LYONS TREMONTI - OFFICER
Form 990, Part VI, Section A, line 6	H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. IS THE SOLE MEMBER OF THE HOSPITAL.
Form 990, Part VI, Section A, line 7a	AS THE SOLE MEMBER OF THE HOSPITAL, H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. SHALL HAVE THE POWER TO APPROVE, DISAPPROVE OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OR OFFICER OF THE HOSPITAL.
Form 990, Part VI, Section A, line 7b	H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AS THE SOLE MEMBER OF THE CORPORATION SHALL ALSO HAVE THE FOLLOWING POWERS: A. APPROVE, DISAPPROVE OR RECOMMEND THE ADOPTION, CHANGE, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; B. APPROVE, DISAPPROVE OR RECOMMEND THE ADOPTION, CHANGE, AMENDMENT OR REPEAL OF THE BYLAWS OF THE CORPORATION; C. APPROVE, DISAPPROVE OR RECOMMEND THE SELECTION OF A QUALIFIED AUDIT FIRM AND THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; D. APPROVE OR DISAPPROVE THE TRANSFER, SALE, LEASE OR DISPOSITION OF ANY ASSET OF THE CORPORATION IN EXCESS OF TWO HUNDRED THOUSAND DOLLARS ($200,000.00); E. APPROVE OR DISAPPROVE THE CONFERRING OF ANY LIEN OR SECURITY INTEREST IN ASSETS OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000.00), WHETHER SAME SHALL BE IN CONNECTION WITH EITHER PUBLIC OR PRIVATE FINANCING, OR OTHERWISE; F. APPROVE OR DISAPPROVE ALL DONATIONS OR CHARITABLE CONTRIBUTIONS BY THE CORPORATION IN EXCESS OF TWENTY THOUSAND DOLLARS ($20,000.00) PER CONTRIBUTION OR ANNUAL CONTRIBUTION EXCEEDING FIFTY THOUSAND DOLLARS ($50,000.00) IN THE AGGREGATE; G. APPROVE, DISAPPROVE OR RECOMMEND THE ADOPTION OF THE CORPORATION'S MISSION AND PHILOSOPHY STATEMENT; AND H. APPROVE OR DISAPPROVE CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000.00) PER EXPENDITURE OR FIVE HUNDRED THOUSAND DOLLARS ($500,000.00) IN THE AGGREGATE ANNUALLY. I. APPROVE, DISAPPROVE OR REMOVE ANY MEMBER OF THE BOARD OR OFFICER OF THE CORPORATION.
Form 990, Part VI, Section B, line 11	LINE 11B, PRIOR TO PROVIDING FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, TO THE HOSPITAL BOARD OF DIRECTORS FOR REVIEW, THE CHIEF FINANCIAL OFFICER REVIEWS THE RETURN. SUGGESTED COMMENTS OR CHANGES ARE DISCUSSED AND ANY NECESSARY CORRECTIONS ARE MADE. PRIOR TO ELECTRONICALLY FILING FORM 990, MOFFITT HOSPITAL PROVIDES A COPY OF THE RETURN TO THE GOVERNING BODY, GIVING EACH BOARD MEMBER TIME TO REVIEW THE RETURN. BOARD MEMBERS HAVE THE OPPORTUNITY TO ASK QUESTIONS RELATED TO THE INFORMATION PROVIDED ON THE RETURN.
Form 990, Part VI, Section B, line 12c	ON AN ANNUAL BASIS A PRESENTATION IS MADE TO HOSPITAL BOARD MEMBERS TO REVIEW THE CONFLICT OF INTEREST POLICY AND PROCEDURES FOR DISCLOSING ANY POTENTIAL CONFLICTS. EACH DIRECTOR, OFFICER, COMMITTEE MEMBER, AND KEY EMPLOYEE SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ATTACHED TO THE POLICY. ANY DIRECTOR, OFFICER, COMMITTEE MEMBER, OR KEY EMPLOYEE WHO REASONABLY BELIEVES THAT HE OR SHE MAY HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MUST DISCLOSE THE EXISTENCE OF AND THE MATERIAL FACTS OF THE NATURE OF HIS/HER INTEREST ON THE FORM. THE FORM IS SUBMITTED TO THE CORPORATE COMPLIANCE OFFICE, WHICH REVIEWS THE FORMS, GATHERS ADDITIONAL RELEVANT INFORMATION WHERE NECESSARY, AND PREPARES A SUMMARY OF THE DISCLOSURES TO BE REVIEWED BY THE CONFLICT OF INTEREST WORK GROUP. IF A DIRECTOR OR COMMITTEE MEMBER DISCLOSES THAT HE/SHE HAS A POTENTIAL CONFLICT OF INTEREST AT A BOARD OR COMMITTEE MEETING, SUCH DIRECTOR OR COMMITTEE MEMBER MUST DISCLOSE THE NATURE OF THE INTEREST AND ANY RELATED INFORMATION AND RESPOND TO QUESTIONS AS MAY BE REQUIRED BY THE REMAINING MEMBERS. BASED ON THE INFORMATION DISCLOSED, THE REMAINING BOARD MEMBERS WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT EXISTS THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER AN ALTERNATIVE TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT IS EQUALLY ADVANTAGEOUS. IF AN ALTERNATIVE TRANSACTION IS NOT EQUALLY ADVANTAGEOUS THE DIRECTOR OR COMMITTEE MEMBER WHO IS THE SUBJECT OF THE CONFLICT SHALL NOT VOTE ON, NOR USE HIS/HER PERSONAL INFLUENCE ON, NOR PARTICIPATE IN DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO THE TRANSACTION.
Form 990, Part VI, Section B, line 15	LINE 15A & 15B, THE BOARD OF DIRECTORS OF H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. ("MOFFITT"), A RELATED ENTITY, HAS AN ESTABLISHED SUB-COMMITTEE, THE JOINT EXECUTIVE COMPENSATION & BENEFITS COMMITTEE (JEC&BC) THAT IS MADE UP ENTIRELY OF INDEPENDENT, OUTSIDE DIRECTORS. THIS COMMITTEE IS CHARGED WITH THE OVERSIGHT OF THE PERFORMANCE AND COMPENSATION OF MOFFITT AND ITS SUBSIDIARIES' EXECUTIVES AND DISQUALIFIED PERSONS. THESE POSITIONS INCLUDE THE CEO, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, VICE PRESIDENTS AND DEPARTMENT CHAIRPERSONS. TO ACCOMPLISH ITS MISSION, THE COMMITTEE CAN AS NEEDED AND DOES AT ITS DISCRETION, ENGAGE OUTSIDE INDEPENDENT, OUTSIDE ADVISORS INCLUDING, BUT NOT LIMITED TO ATTORNEYS AND COMPENSATION CONSULTANTS. ON AN ANNUAL BASIS THE JEC&BC ENGAGES A NATIONALLY KNOWN, THIRD PARTY CONSULTING FIRM TO PROVIDE A DETAILED STUDY OF THE CASH COMPENSATION FOR EACH EXECUTIVE, DISQUALIFIED PERSON AND INDIVIDUAL IN KEY POSITIONS. THE CONSULTANT USES A VARIETY OF PUBLISHED SURVEYS COMPILED BY INDEPENDENT FIRMS TO PROVIDE THE SOURCE DATA FOR THE STUDY. USING FUNCTIONALLY COMPARABLE POSITIONS IN OTHER SIMILARLY SIZED, NOT-FOR-PROFIT AND FOR-PROFIT HEALTHCARE, ACADEMIC AND RESEARCH ORGANIZATIONS, THE CONSULTING FIRM PRODUCES A STUDY THAT COMPARES EACH DESIGNATED POSITION TO ITS APPROPRIATE MARKET EQUIVALENT. THE RESULTING DATA IS PROVIDED TO THE DIRECTOR OF COMPENSATION, WHO IS NOT INCLUDED IN THE EXECUTIVE OR DISQUALIFIED PERSON CATEGORIES, FOR USE IN THE FORMULATION OF RECOMMENDATIONS FOR COMPENSATION CHANGES TO MAINTAIN MARKET COMPETITIVENESS OR TO REWARD PERFORMANCE. THESE RECOMMENDATIONS ALONG WITH THE CONSULTANT'S COMPARABILITY DATA ARE PRESENTED TO THE JEC&BC FOR IT TO CONFIRM ITS REASONABLENESS, MAKE MODIFICATIONS AS IT DEEMS NECESSARY AND PROVIDE FINAL APPROVAL. EVERY THIRD YEAR THE INDEPENDENT CONSULTANT ANALYZES THE TOTAL EXECUTIVE COMPENSATION PROGRAM, USING THE SAME METHODOLOGY AS DESCRIBED ABOVE, THAT INCLUDES THE VALUE OF ALL BENEFITS AND PREREQUISITES (CASH AND NON-CASH) PROVIDED AS COMPENSATION TO THE EXECUTIVES AND DISQUALIFIED PERSONS. THE PURPOSE OF THE ANALYSIS IS TO PROVIDE AN OPINION ON THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION COMPONENTS AND THE AGGREGATE COMPENSATION TOTAL. THIS MORE COMPREHENSIVE ANALYSIS IS PROVIDED TO THE JEC&BC FOR THEIR USE IN THE ANNUAL REVIEW PROCESS. MINUTES ARE KEPT AT EACH OF THESE ANNUAL MEETINGS DETAILING THE RECOMMENDATIONS PRESENTED AND THE DECISIONS MADE BY THE COMMITTEE. THESE MINUTES ARE PUBLISHED TO THE COMMITTEE AT THE NEXT MEETING AND REPORTED BACK TO THE FULL BOARD.
Form 990, Part VI, Section C, line 19	MOFFITT HOSPITAL MAKES AVAILABLE TO THE PUBLIC THROUGH THIRD PARTY VENDORS' WEBSITES, ITS FORM 990 AND AUDITED FINANCIAL STATEMENTS. FORM 990 IS MADE AVAILABLE ON GUIDESTAR WHILE THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE ON DACBOND. ALL ORGANIZING AND GOVERNING DOCUMENTS SUCH AS FORM 1023, CONFLICTS OF INTEREST POLICY, AND BYLAWS AS WELL AS FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, Column (D):	THERE ARE NO FUNDRAISING EXPENSES BECAUSE THE CONTRIBUTIONS ARE FROM RELATED AND NON-RELATED ORGANIZATIONS. H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE FOUNDATION, INC. HANDLES ALL FUNDRAISING ACTIVITIES FOR H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AND ITS SUBSIDIARIES.
Form 990, Part XI, line 9:	TRANSFER TO TAX EXEMPT AFFILIATES -94897791. INTEREST IN NET ASSETS OF FOUNDATION 399009. NET ASSETS RELEASED FROM RESTRICTION 1651289.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	3,539
6	Total number of volunteers (estimate if necessary) .............	6	632
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,224,360	10,663,909
9	Program service revenue (Part VIII, line 2g) .........	754,476,547	804,486,683
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-9,709	-47,718
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,265,748	2,359,775
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	764,956,946	817,462,649
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	12,583,712	3,000
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	260,232,114	281,506,279
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	378,615,602	418,618,359
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	651,431,428	700,127,638
19	Revenue less expenses. Subtract line 18 from line 12.......	113,525,518	117,335,011
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	141,481,633	162,071,983
21	Total liabilities (Part X, line 26).............	55,082,488	51,185,320
22	Net assets or fund balances. Subtract line 21 from line 20.....	86,399,145	110,886,663

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 601,462,571 including grants of $ 3,000 ) (Revenue $ 804,486,683 )
	H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE HOSPITAL, INC. (THE "HOSPITAL") IS LOCATED ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA IN TAMPA, FL. SINCE OPENING IN 1986, THE HOSPITAL HAS BEEN GUIDED BY ONE MISSION, "TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER." MOFFITT IS A LEADING NATIONAL CANCER INSTITUTE (NCI) COMPREHENSIVE CANCER CENTER - ONE OF ONLY 45 IN THE NATION TO HOLD THIS DISTINCTION. MOFFITT IS THE TOP-RANKED CANCER HOSPITAL IN FLORIDA, THE NUMBER 6 CANCER HOSPITAL IN THE NATION, AND HAS BEEN LISTED IN U.S. NEWS & WORLD REPORT AS ONE OF THE "BEST HOSPITALS" FOR CANCER CARE SINCE 1999. WITH MORE THAN 5,200 EMPLOYEES BETWEEN THE HOSPITAL AND RELATED ORGANIZATIONS, MOFFITT HAS AN ECONOMIC IMPACT ON FLORIDA OF NEARLY $2.1 BILLION. RESEARCH IS CRITICAL TO MOFFITT'S MISSION. MUCH OF OUR CLINICAL TRIALS AND STUDIES ARE DONE THROUGH COLLABORATION BETWEEN MOFFITT RESEARCHERS AND PHYSICIANS WHO FOCUS ON COMPREHENSIVE CANCER TREATMENT. THE CLINICAL TRIALS AND STUDIES EXPLORE NEW MEDICAL DISCOVERIES OR NEW WAYS TO USE EXISTING TREATMENTS TO IMPROVE PATIENT CARE. EVERY PARTICIPANT HELPS TAKE US ONE STEP CLOSER TO THAT NEXT BIG BREAKTHROUGH IN CANCER TREATMENT.REIMBURSEMENT IS ALSO CRITICAL TO THE HOSPITAL'S OPERATIONS; HOWEVER, MOFFITT RECOGNIZES ITS RESPONSIBILITY TO PROVIDE SERVICES AND EDUCATION TO THOSE NEEDING SPECIALIZED RESEARCH CAPABILITIES. PATIENTS WHO MEET MOFFITT'S MEDICAL AND SURGICAL PROTOCOLS AND DO NOT HAVE THE ABILITY TO PAY WILL BE TREATED, IF SUCH PROTOCOLS ARE NOT AVAILABLE IN THEIR COMMUNITY.IT IS THIS COMMITMENT THAT GUIDES THE HOSPITAL TO:(1) PROVIDE CARE FOR PATIENTS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST(2) PROVIDE FREE CHARITY CARE FOR THOSE WHO CANNOT PAY(3) PROVIDE ONCOLOGY SPECIALIZATION TO THE STATE OF FLORIDA THROUGH INVOLVEMENT IN INVESTIGATIONAL PROTOCOLS, EDUCATION OF FUTURE PHYSICIANS AND CONTINUING PROFESSIONAL EDUCATION FOR PHYSICIANS AND OTHER ALLIED HEALTH CARE PROFESSIONALS(4) TAKE A LEADERSHIP ROLE IN CANCER PREVENTION AND SCREENING ACTIVITIES THE HOSPITAL IS A CRITICAL RESOURCE FOR THE STATE OF FLORIDA, WHICH RANKS SECOND IN THE NATION IN BOTH CANCER INCIDENCE AND MORTALITY. MOFFITT IS LICENSED FOR 206 BEDS AND DEVOTES MORE THAN 2 MILLION SQUARE FEET TO RESEARCH AND PATIENT CARE. ADDITIONALLY, MOFFITT PROVIDES A WIDE ARRAY OF OUTREACH AND EDUCATIONAL ACTIVITIES FOR THE GENERAL PUBLIC AND SELECT UNDERSERVED POPULATIONS. IN FISCAL YEAR 2016, THE HOSPITAL RECORDED 351,421 OUTPATIENT VISITS AND 9,384 INPATIENT ADMISSIONS

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses601,462,571

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,838,110	7,035,880	860,817

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,448,983
e	Government grants (contributions)		1e	237,595

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,977,331

g	Noncash contributions included in lines 1a-1f:$ 1,073,042
h Total.Add lines 1a-1f.......		10,663,909

		Business Code
2a	NET PATIENT SERV REV	900099	784,387,328	784,387,328
b	SPECIALTY PHARMACY	900099	18,290,717	18,290,717
c	OUTPATIENT PHARMACY	900099	800,000	800,000
d	EDUCATION CONFERENCES	611710	447,345	447,345
e	AFFILIATE SERVICES	900099	143,414	143,414
f	All other program service revenue.			417,879	417,879
g Total.Add lines 2a–2f.....			804,486,683

3 Investment income (including dividends, interest, and othersimilar amounts) ..........
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	132,591
b	Less: cost or other basis and sales expenses	180,309
c	Gain or (loss)	-47,718
d	Net gain or (loss).....			-47,718			-47,718
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722210	1,581,332			1,581,332
b	REBATES		900099	331,370			331,370
c	INT FROM INS CO		524114	301,514			301,514
d	All other revenue ....			145,559			145,559
e	Total. Add lines 11a–11d ......			2,359,775
12	Total revenue. See Instructions......			817,462,649	804,486,683	0	2,312,057

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	3,000	3,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,691,410	3,471,703	219,707
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	284,831	222,924	61,907
7	Other salaries and wages	218,871,732	170,467,562	48,404,170
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,947,714	8,668,520	2,279,194
9	Other employee benefits .......	32,146,246	28,422,177	3,724,069
10	Payroll taxes ...........	15,564,346	12,263,734	3,300,612
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,982,965		1,982,965
c	Accounting ...........	299,510		299,510
d	Lobbying ...........	439,816		439,816
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	19,750,206	13,098,503	6,651,703
12	Advertising and promotion ....	5,833,936	29,519	5,804,417
13	Office expenses .......	49,432,213	32,344,322	17,087,891
14	Information technology ......	5,594,027		5,594,027
15	Royalties ..
16	Occupancy ...........	15,936,185	3,833,212	12,102,973
17	Travel ............	785,226	369,646	415,580
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	506,149	506,149
20	Interest ...........	9,108,972		9,108,972
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	30,591,471	13,133,185	17,458,286
23	Insurance ...	1,184,396		1,184,396
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	219,082,456	219,079,626	2,830
b	ALLOC OF INTERCO EXP	0	55,886,901	-55,886,901
c	PURCHASED SERVICES	35,417,708	21,940,882	13,476,826
d	HCCB ASSESSMENT	8,663,756	8,663,756
e	All other expenses	14,009,367	9,057,250	4,952,117
25	Total functional expenses. Add lines 1 through 24e	700,127,638	601,462,571	98,665,067	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			7,525	1	4,175
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			2,592,814	3	2,859,855
4	Accounts receivable, net .............			81,102,636	4	90,615,228
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			10,963,297	8	11,975,543
9	Prepaid expenses and deferred charges ......			1,063,242	9	1,210,898
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	195,448,959
b	Less: accumulated depreciation	10b	148,644,291	38,553,027	10c	46,804,668
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			7,199,092	15	8,601,616
16	Total assets. Add lines 1 through 15 (must equal line 34)...			141,481,633	16	162,071,983

17	Accounts payable and accrued expenses .....	25,375,908	17	22,792,320
18	Grants payable ...		18
19	Deferred revenue .........	167,354	19	97,525
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	29,539,226	25	28,295,475
26	Total liabilities. Add lines 17 through 25..	55,082,488	26	51,185,320

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	82,974,466	27	107,062,975
28	Temporarily restricted net assets ...........	3,424,679	28	3,823,688
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	86,399,145	33	110,886,663
34	Total liabilities and net assets/fund balances ........	141,481,633	34	162,071,983

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE INC 12902 MAGNOLIA DRIVE TAMPA,FL33612 59-2451713	PARENT-RESEARCH	FL	501(c)(3)	Line 7	N/A		No
(2)H LEE MOFFITT CANCER CTR & RESEARCH INSTITUTE FOUNDATION INC 12902 MAGNOLIA DRIVE TAMPA,FL33612 59-3238636	FUNDRAISING	FL	501(c)(3)	Line 7	H LEE MOFFITT CANCER CTR & RES INST INC		No
(3)H LEE MOFFITT CC&RI LIFETIME CANCER SCREENING CENTER INC 12902 MAGNOLIA DRIVE TAMPA,FL33612 59-3238640	PRACTICE MANAGEMENT	FL	501(c)(3)	Line 9	H LEE MOFFITT CANCER CTR & RES INST INC		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No